<form id="edits-form" class="form-horizontal col-sm-12" role="form" data-toggle="validator" method="POST" action="">
		<div class="form-group" >
			<label class="control-label col-xs-2 col-sm-2">发票号码:</label>
			<div class="col-xs-6 col-sm-6">
				<input type="text" name="row[invoice_number]" placeholder="请输入发票号码" class="form-control" value="{$row.invoice_number}"/>
			</div>
		</div>
		<div class="form-group" >
			<label class="control-label col-xs-2 col-sm-2">实际开票日期:</label>
			<div class="col-xs-6 col-sm-6">
				<input name="row[invoice_time]" type="text" class="form-control datetimepicker" value="{$row.invoice_time}" data-rule="required"   data-date-format="YYYY-MM-DD" placeholder="请选择实际开票日期" >
			</div>
		</div>
		<div class="form-group" >
			<label class="control-label col-xs-2 col-sm-2">物流单号:</label>
			<div class="col-xs-6 col-sm-6">
				<input type="text" name="row[logistics]" placeholder="请输入物流单号" class="form-control" value="{$row.logistics}"/>
			</div>
		</div>
		<div class="form-group">
			<label class="control-label col-xs-2 col-sm-2">凭证:</label>
			<div class="col-xs-6 col-sm-6">
				<div class="input-group">
					<input id="c-images" class="form-control" size="35" placeholder="请上传凭证" name="row[image]" type="text" value="{$row.image}" >
					<div class="input-group-addon no-border no-padding">
						<span><button type="button" id="faupload-images" class="btn btn-danger faupload" data-url="qingdongwms/base/upload" data-input-id="c-images" data-mimetype="image/gif,image/jpeg,image/png,image/jpg,image/bmp" data-multiple="false" data-preview-id="p-images"><i class="fa fa-upload"></i> {:__('Upload')}</button></span>
					</div>
					<span class="msg-box n-right"></span>
				</div>
				<ul class="row list-inline faupload-preview" id="p-images"></ul>
			</div>
		</div>

	<div class="form-group layer-footer">
		<label class="control-label col-xs-2 col-sm-2"></label>
		<div class="col-xs-4 col-sm-8">
			<button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
			<button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
		</div>
	</div>
</form>